Onesource PDH LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ONESOURCE PDH LLC

Practice address

1680 Elk Creek Dr Ste 100
Idaho Falls, ID 83404-1225

Phone

(208) 524-0685

Fax

(208) 524-0686

NPI assigned

Apr 25, 2011

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Nebeker

Title

Owner

Phone

(208) 524-0685

Specialties & licenses 1

Addresses

Other names 1

• ONESOURCE PCS Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1194016196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041225",
            "telephone_number": "208-524-0685",
            "fax_number": "208-524-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ELK CREEK DR STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041225",
            "telephone_number": "208-524-0685",
            "fax_number": "208-524-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESOURCE PDH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "NEBEKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-524-0685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONESOURCE PCS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ONESOURCE PCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.